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Individual

DR. GLADIMIRO DAVILA MARTINEZ

Active
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Individual

DR. GLADIMIRO DAVILA MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7078
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0028612
PTAN MEDICARE
PR
01
0028612 A
MEDICARE PTAN
PR
01
0085466A
HATO TEJAS, PSC , PTAN
PR
01
7078
PUERTO RICO MEDICINE DOCTOR LICENCE
PR
01
C79765Z
IMAGING & RADIOLOGY ADVOCTES, PSC, PTAN
PR
01
DM-06294-3
AMSSCA
PR
Enumeration date
06/07/2006
Last updated
03/07/2023
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